Thyroidectomy using the harmonic scalpel: A pilot study

Use of an Ultrasonically Activated Scalpel for Splenectomy in 10 Dogs with Naturally Occurring Splenic Disease

“…The UAS works by transferring mechanical energy, blade vibrations, to tissue. Blade oscillations cause internal tissue pressures to rise and fall rapidly, 8 intracellular water‐soluble substances are vaporized by cavitation, 20,21 and expansion and contraction of these vapor filled cavities results in tissue dissection 8,22 . Protein's tertiary hydrogen bonds are disrupted leading to protein denaturation and the formation of a sticky protein coagulum, 15,23,24 that is responsible for sealing vessels and tissues.…”

Does Mediastinal Extension of the Goiter Increase Morbidity of Total Thyroidectomy? A Multicenter Study of 19,662 Patients

“…43 Therefore, innovative devices, such as the harmonic scalpel and topical hemostatic, are popular. 43,[72][73][74][75][76][77][78][79] Specifically, the use of ultrasonic dissectors in thyroid surgery has proved valuable for preventing bleeding, reducing internal electrical burns, and reducing operative time, blood loss, and organ injury. [72][73][74][75][76][77] Confirming an increased frequency of complications in CMG cases, this study demonstrates improved outcome in CMGs treated with sternal split rather than cervical externalization.…”

“…43,[72][73][74][75][76][77][78][79] Specifically, the use of ultrasonic dissectors in thyroid surgery has proved valuable for preventing bleeding, reducing internal electrical burns, and reducing operative time, blood loss, and organ injury. [72][73][74][75][76][77] Confirming an increased frequency of complications in CMG cases, this study demonstrates improved outcome in CMGs treated with sternal split rather than cervical externalization. The explanation could be that the sternal split provides the control of all the structures of the neck and upper mediastinum to the surgeon.…”